Tips for Common Catheter Problems

Whether you are new to catheterization or have been using a catheter for years, there are common catheter problems you might experience. Urinary catheters may be recommended by your doctor for various reasons and are a necessary part of controlling and emptying your bladder. You may be using a catheter for a short amount of time or long term. Either way, we will discuss some of the common catheter problems you may experience along the way and what can be done to alleviate the issues.

The Three Types of Catheters

1. Intermittent Catheters

Intermittent catheters are designed to be single-use tubes that pass through the urethra to drain the bladder and then be discarded. As the name suggests, they do not remain in the bladder for a long time but are instead used in intervals throughout the day. An intermittent catheter may be inserted in the hospital by a doctor during surgery, or it may be self-inserted every few hours to empty the bladder (self-catheterization).

Common Problems with Intermittent Catheters

  • The intermittent catheter will not go in.

GentleCath Hydrophilic Female CatheterYou should never force a catheter in due to the risk of damaging the sensitive urethral tissue. Try removing the catheter, taking a deep breath, and try again in a few minutes. If you are still unsuccessful and your bladder is uncomfortably full, you should visit your nearest emergency room for immediate assistance.

  • No urine is draining from the intermittent catheter.

It is possible that the lubricating jelly used to insert the intermittent catheter has blocked the flow of urine through the drainage eyelets. You can try coughing to help start urine flow for this common catheter problem.

Also, check to make sure you have inserted the intermittent catheter correctly. For females, check to see that you have not accidentally inserted the catheter into the vagina. For males, ensure that you have inserted the intermittent catheter far enough into the urethra from proper drainage. You should see approximately ten centimeters of the catheter’s end visible.

  • You are experiencing frequent urinary tract infections (UTIs).

Most catheter-associated urinary tract infections (CAUTIs) are caused by bacteria entering the urethra. CAUTIs are among the most common catheter problems and should be treated immediately by a doctor before it leads to further complications. One of the ways to help prevent CAUTIs is using closed-system catheters. Closed-system catheters allow for a completely touchless catheterization experience, reducing the risk of bacteria entering the urethra.

As with any UTI, it is advised to drink plenty of water throughout the day. By drinking enough fluids, you can help flush any bacteria away.

Another side note about CAUTIs is that the longer the catheter remains in place, such as with a Foley catheter, the higher the risk of repeat CAUTIs. And, since the female urethra is closer to the anus than with men, a CAUTI is more likely to occur in women than men.

2. Foley Catheters

A Foley catheter is also commonly referred to as an indwelling catheter because it is inserted into the bladder and remains there prolonged. Near the tip of the Foley catheter is a balloon. Once the Foley catheter is inserted into the bladder, the balloon is filled with sterile water. This expanded balloon prevents the Foley catheter from moving out of place.

More detailed information, including Foley catheter accessories and Foley catheter sizing, can be found on our Foley Catheter Products page.

Common Problems with Foley Catheters

  • There is leaking around the Foley catheter.

details and specific parts of a Foley catheterWhen the urine bypasses the catheter, leakage occurs. Check to make sure there are no kinks in the catheter and the drainage bag tubing that may be causing the leakage.

Another common catheter problem with a Foley catheter that is leaking is that it could also be blocked. If you have checked that there are no kinks in the catheter and drainage bag tubing and are uncomfortable because of your full bladder, go to your nearest emergency room immediately to resolve the blockage.

  • The Foley catheter has fallen out.

The balloon on a Foley catheter is inflated with sterile water and holds the catheter in place inside the bladder, preventing it from falling out. Be sure to check and see that the balloon did not accidentally deflate, meaning it could be faulty. The balloon size could also be the problem the Foley catheter has fallen out of the bladder. You should seek medical attention immediately if your Foley catheter has fallen out.

3. External Catheters

External catheters are also referred to as condom catheters or Texas catheters. Most external catheters are designed for men. However, female external catheters such as the Purewick Female External Catheter do exist.

Male external catheters are placed over the penis much like a condom. This external catheter features a plug at the end that attaches to a urinary drainage bag attached to the upper leg with catheter straps. These male external catheters are also self-adhesive and less likely to cause UTIs commonly associated with frequent intermittent catheterization.

Common Problems with External Catheters

  • The skin has become irritated.

Freedom Clear External Male CatheterYou may be allergic to the material or adhesive of the external catheter. You should consult your doctor, who may recommend an alternate external catheter to try.

The skin irritation could also be caused due to improper sizing of the external catheter. If the catheter is too tight around the penis, friction can occur, leading to skin irritation. If the external catheter is too large, leakage can occur, contributing to skin problems from fluids.

  • You are experiencing urine backflow.

A common catheter problem with external catheters is backflow. If urine is coming out of the top of the catheter, the first thing to check is to make sure that the drainage bag is below the bladder level. This is the case for all catheters, not just external catheters. Gravity will pull the urine downward, and if the drainage bag is above the bladder level, it will likely cause backflow.

  • Removing the catheter is painful.

If you experience pain when removing the external catheter, try putting a warm washcloth around the external catheter for a few minutes. The warmth of the washcloth can help loosen the adhesive used when applying the external catheter, allowing for smooth removal.

Other Catheter Problems That Require Immediate Attention

Although the above lists some of the most common catheter problems, it is not complete. There are other symptoms to watch for. You should seek medical attention immediately if you are experiencing any of the following:

  • Continuous bladder spasms or stomach cramps
  • Cloudy, fowl, or strong-smelling urine
  • Stones are sediment in the urinary drainage bag
  • Drinking enough fluids but little or no urine draining
  • Burning sensation around the catheter
  • Blood in the urine drainage bag or around the catheter point of entry
  • Swelling of the urethra at the catheter point of entry
  • Fever or chills

For help finding any intermittent, Foley, or external catheters we offer at Personally Delivered, give us a call. One of our helpful and knowledgeable Catheter Product Experts is happy to help. Remember, catheterization should never be uncomfortable, and we hope that some of these tips for common catheter problems you can find helpful.

Popular Catheters and Urology Supplies

Personally Delivered- home

Coloplast: Making life easier so you can be you!

Coloplast has been developing products and supplies for those with personal healthcare needs for over 60 years. Their products span from ostomy, continence care, urology, and skin and wound care. Coloplast’s mission is to produce these products to help make life easier so you can get out there and enjoy the activities you love most.

Coloplast Ostomy Products

Coloplast Sensura Mio Flip BarrierColoplast understands that life after ostomy surgery can be challenging to navigate. That’s why they work hard to develop innovative ostomy supplies based on honest customer feedback. Coloplast ostomy products and accessories are offered in various sizes, styles, and shapes to meet a broad range of needs.

We carry a wide selection of Coloplast ostomy supplies and accessories. When it comes to managing your output, controlling odors, and maintaining healthy peristomal skin, we have the Coloplast products for you.

If you would like advice on ostomy supplies that might help solve some of the most common issues with an ostomy, Coloplast offers easy and convenient Troubleshooter and BodyCheck Tools. They genuinely care about helping you find the right solutions to your specific concerns.

Coloplast Continence Care Products

Coloplast SpeediCath Flex Coudé Pro Pocket CatheterColoplast catheters for both men and women help address bladder and urinary system problems. Using a catheter that helps manage your symptoms while allowing you to continue participating in the activities you desire is the primary goal of Coloplast continence care products.

When it comes to discreetness, Coloplast delivers. Many of their female and male catheters are not only designed to be small and discreet but also convenient, less messy, and comfortable. The all-in-one SpeediCath Compact Sets for men and women feature an attached bag small enough to carry in your pocket or purse. These catheters are ready to use right out of the packaging and are a safe and convenient option for everyday use and traveling.

The SpeediCath Flex Coude Pro catheter for men is an excellent option that features a curved tip for easy navigation into the urethra. The easy-gripper dry sleeve makes the insertion process touch-free for maximum hygiene.

Conveen Security Plus Contoured Leg BagColoplast also offers a variety of urology supplies such as extension tubing, urinary leg and drainage bags, and leg bag straps and holders.

Coloplast Skin Care Products

Baza Clear Moisture Barrier OintmentOur skin is the largest organ of our bodies. Coloplast knows that healthy skin reflects a healthy body. For this reason, Coloplast skin and wound care products aim to protect sensitive and wounded skin from excess damage, infection, and further irritation. Coloplast skin care products cleanse, moisturize, and protect. These skin care products help treat conditions such as skin folds, dry skin, pressure ulcers, and incontinence-related skin issues like rashes and redness. We carry Coloplast barrier sprays, antiseptics, creams, ointments, and more.

Whether you are looking for quality ostomy supplies, continence care solutions, or premium skin care products, Coloplast has got you covered. Shop our store today. And if you need assistance finding the Coloplast products and supplies you are looking for, just ask one of our friendly and knowledgeable Product Experts today. They are glad to help!

Top-Selling Coloplast Products

Personally Delivered- home

Bladder Health: Treating and Preventing Kidney Stones

Our kidneys are responsible for removing waste from the blood and passing that out of our bodies through urine. Sometimes, crystals can begin to form in the kidneys when there is a buildup of waste, and those crystals are called kidney stones. These crystals can be as small as a grain of salt or as large as a golf ball. The larger the kidney stones, the more difficult and painful they are to pass.

So what causes the development of kidney stones, and how can they be prevented? We will discuss that now and hopefully provide helpful information about keeping your bladder healthy and avoiding kidney stones.

What causes kidney stones to form?

There are many risk factors for kidney stones. Anyone can get them, although statistics show that men are more likely than women.

Some of the risk factors of kidney stones are:

  • Your diet is high in protein, salt, and sugar
  • You are overweight
  • You do not drink enough water
  • You previously had kidney stones
  • Other family members have had kidney stones
  • You have polycystic kidney disease
  • You have had an intestinal surgery such as gastric bypass surgery
  • You take diuretics or calcium antacids

Most kidney stones can be easily passed through urine; however, if the kidney stone is too large to pass through the urethra, it can block the urinary tract, and an alternate treatment may be needed.

What are the treatment options for kidney stones?

First, always consult your doctor if there is blood in your urine, you have pain when you urinate, or you are experiencing extreme discomfort in your lower back or abdomen. These could be signs that your kidney stone is too large to pass naturally.

Your doctor may run some blood and urine tests as well as a scan to determine the size of your kidney stones. If your kidney stones are small, your doctor may tell you to drink plenty of water and take pain medication to help push them through your urinary tract.

If the kidney stones are too large to pass naturally, there are a few alternative treatment options.

Lithotripsy

This treatment is done under general anesthesia and uses a focused ultrasound to break up the larger kidney stones into smaller pieces. These smaller kidney stones can then be passed through the urine.

Ureteroscopy

This treatment is also done under general anesthesia. A long tube is inserted into the urethra and then through the bladder. The doctor either removes the stones directly from the ureter or uses a laser to break them into smaller pieces. More detailed information about this procedure can be found at https://urology.ufl.edu/patient-care/stone-disease/procedures/ureteroscopy-and-laser-lithotripsy/.

Percutaneous Nephrolithotomy

When other therapies have failed, this treatment can be used to remove kidney stones. The doctor inserts a scope into the back through a small incision and removes the kidney stones. This procedure is done while under general anesthesia, and more detailed information can be found at https://my.clevelandclinic.org/health/treatments/17349-percutaneous-nephrolithotomy.

How can kidney stones be prevented?

water bottle with markingsOne of the key ways to reduce your risk of developing kidney stones is to drink extra water. By drinking a lot of water, the substances in the urine that lead to kidney stones are diluted. It is recommended to drink at least ten 10-ounce glasses of water each day. This amount translates into approximately three quarts of water.

Some tips for drinking more water include:

  • Add flavor to your water by freezing fruits and using those as an alternative to ice cubes.
  • Try adding honey and lemon to hot water for soothing and warm hydration when the weather is cold.
  • Opt for unsweetened sparkling water.
  • Try using a water bottle that features marked increments as reminders to track your daily water consumption.

You can find smart products that can help you stay hydrated at https://www.nbcnews.com/select/lifestyle/10-smart-products-will-make-upping-your-water-intake-no-ncna759776.

nutrition facts food labelSome diet tips to help prevent kidney stones include:

  • Try cutting down on salty foods like frozen meats, cheese, canned soups, salty snacks, and certain salad dressings. Reading product labels to determine the content of sodium can be very helpful. More information for the recommended daily sodium intake can be found at https://www.healthline.com/nutrition/sodium-per-day.
  • To prevent uric acid kidney stones, it may be helpful to try reducing your intake of shellfish and red meat.

Remember that you should never start, stop, or change your diet without consulting with your doctor.

Having a healthy bladder is essential to everyone. By maintaining a proper fluid intake, eating a well-balanced diet, and keeping your weight under control, you can help avoid kidney stones and other bladder complications such as incontinence, urinary tract infections (UTIs), adult bedwetting, to name a few.

Best-Selling Medical Supplies

Personally Delivered- home

Hollister Incorporated – Making a Difference in People’s Lives for Over 100 Years

Hollister Incorporated has been dedicated to making continence care, ostomy, and critical care products for health care professionals and the people who use these products for over 100 years. Their mission is to make life more dignified and rewarding for those that use their products as they continuously strive to keep up with the ever-changing market to ensure their products are consistently high-quality.

Hollister offers a variety of continence care products for those with neurogenic bladder, urinary retention, incontinence, and other common bladder conditions. Today, we will focus on Hollister Continence Care Products, including intermittent catheters, male external catheters, and urine collection devices. We will also provide resources to answer some questions you may have, including videos and articles.

Hollister Intermittent Catheters

Hollister offers a variety of intermittent catheters that help give freedom to those with neurogenic bladder. Hollister intermittent catheters help make catheterization safe and comfortable so you can go about your day without worry and stay active.

female hand opening the flip-top cap of the Hollister Infyna Chic catheterInfyna Chic Intermittent Catheter

The Infyna Chic Intermittent Catheter is a hydrophilic catheter for women that is beautiful and discreet. The flip-top cap is easy to open using just one hand, and the firmness of the catheter supports an entirely touchless insertion. It is ready to use right out of its case and will not leak once the cap is reclosed. Women can confidently and completely drain their bladder with the Infyna Chic Intermittent Catheter, which can be fully recycled after use.

Vapro Plus Pocket CatheterVaPro Plus Pocket Catheters

Hollister VaPro Plus Pocket Catheters are made for both men and women and feature an easy-open finger hole on the packaging. These intermittent catheters fit nicely in a pocket or purse for discreetness and are excellent for catheterization on the go or at home. The VaPro Plus Pocket Catheters provide a touch-free experience with their protective tip, sleeve, and integrated 1000mL collection bag. The smooth rounded eyelets enhance comfort upon insertion and removal, and this catheter is latex-free and constructed of Phthalate-free PVC material.

The VaPro Intermittent Catheter is also offered with a coude tip.

Hollister Onli Ready-To-Use Women's Hydrophilic Intermittent CatheterOnli Ready to Use Hydrophilic Catheters

The Hollister Onli Hydrophilic Catheter is ready to use and designed for easy catheterization. This intermittent catheter is prehydrated in an easy to open package and features an ergonomic gripper to provide a touchless experience. The Hollister Onli Intermittent Catheter is available for both children and adults, male and female.

Hollister Advance Plus Catheter KitAdvance Plus Intermittent Catheters

This pre-lubricated gel intermittent catheter system is self-contained and designed to be touch-free. The Hollister Advance Plus Intermittent Catheter features an integrated 1500mL collection bag with a large handle and a protective tip to help reduce the risk of bacteria entering the urethra.

The Hollister Advance Plus Intermittent catheter is also available in the Advance Plus Pocket style for a secure, discreet, and convenient option and offered in a kit that contains all the necessary supplies for a touch-free and safe catheterization experience.

hollister apogee plus intermittent catheter systemApogee Intermittent Catheters

Hollister Apogee Intermittent Catheters are available in non-lubricated straight or coude tip options. Hollister also makes the Apogee Closed-System Intermittent Catheter Systems that are pre-lubricated gel catheters with a protective tip to help shield them from bacteria contained in a 1500mL collection bag. This intermittent catheter allows for touch-free catheterization and is also available as a kit containing all the supplies needed for a comfortable experience.

Hollister Male External Catheters

Hollister male external catheters are designed for men with urinary incontinence and dribbling issues and can help prevent urinary infections associated with frequent catheterization. External catheters can be a more comfortable option for men since they are non-invasive and allow more movement. Hollister offers three styles of male external catheters in various sizes to ensure you get the proper fit and wear time.

Hollister InView Extra Male External CatheterInView Silicone Male External Catheter

The InView Silicone Male External Catheter is the choice for those with a latex allergy. The breathable, transparent, and soft silicone material features a skin-friendly adhesive to prevent detachment, and the tapered tip fits most drainage bags.

Everyday Latex Male External Catheter

The Hollister Everyday Latex Male External Catheter is easy for men to apply, wear, and remove. Featuring a skin-friendly adhesive for security and a tapered tip that fits most urine drainage bags, this external catheter for men is a comfortable option. The double-row convolutions help to resist twisting and kinking so urine can flow freely into a collection bag.

The Hollister Extended-Wear Self-Adhesive Male External CatheterExtended Wear Latex Male External Catheter

The Hollister Extended Wear Latex Male External Catheter has the same features as the Everyday Latex Male External Catheter but has an inner flap that helps prevent urine backflow.

Hollister Collection Devices and Accessories

Hollister makes a range of urine collection devices, extension tubing, and leg bag straps to help make your catheterization experience easy, clean, secure, and comfortable. You can shop a wide variety of Hollister urinary collection devices and accessories by clicking the options below.

Hollister Incorporated Resources

Hollister offers a wealth of educational guides and videos to help you learn more about intermittent catheterization, bladder and bowel health, using Hollister continence care products, and so much more. Visit https://www.hollister.com/en/continencecare/educationaltools to expand your knowledge and get the most out of your life.

Our Product Experts are just a phone call away and ready to assist with any questions or concerns about the Hollister products and supplies we offer. If you are looking for Hollister ostomy products or other Hollister accessories, we carry many of those too. And, if you aren’t finding what you are looking for on our website, just reach out and ask.

Personally Delivered- home

The Advantages of Coloplast Self-Cath Catheters

Coloplast manufacturers the Self-Cath family of catheters for male, female, and pediatric patients. Self-Cath catheters are designed to make either self-catheterization or catheterization by a caregiver comfortable, safe, and easy. These intermittent catheters are latex-free and made of a flexible medical grade PVC material and silicone surface for smooth insertion.

Let’s talk about the Coloplast Self-Cath family of catheters now and point out each of their unique features and benefits.

Coloplast Self-Cath Straight Male Length CatheterThe Self-Cath Male Straight Tip Intermittent Catheter is constructed of a soft silicone material that is uncoated. These catheters are 16-inches long, feature fire-polished eyelets, and are individually packaged for sterile, single-use. This Self-Cath Straight Tip Catheter for men is latex-free, so it is safe for those with latex allergies.

The Self-Cath Male Straight Tip Catheter is also offered in a more compact curved packaging for more discreetness.

Coloplast Female Length Straight CatheterThe Self-Cath Female Straight Tip Catheter has excellent benefits like the male version, but it is only 6-inches long to accommodate the female anatomy. Six inches is the standard length for an intermittent female catheter and is designed for maximum comfort. With its smooth silicone surface and fire-polished eyelets, the Self-Cath Female Straight Tip Catheter makes catheterization for women easy and comfortable.

The Self-Cath Female Straight Catheter is also offered with a Luer End. This catheter style does not have a connector or color-coded funnel at the end of the tube but rather just an open end.

Coloplast Self-Cath Pediatric Intermittent Straight Tip CatheterJust like the male and female options of the Self-Cath Straight Tip Catheters, the Self-Cath Pediatric Straight Tip Catheter shares all the same great features at 10-inches in length. The clear, latex-free, smooth silicone surface with fire-polished eyelets helps make self-catheterization as comfortable as possible.

Coloplast Self-Cath Olive Tip Coudé CatheterThe Self-Cath Male Olive Tip Coude Catheter has a rounded, curved end to help navigate through narrow urethras upon insertion. This slightly curved and olive tip feature allows for a smoother passage into the bladder and may help bypass urethral obstructions. This 16-inch long male intermittent catheter is constructed of medical-grade PVC with a siliconized surface and fire-polished eyelets. The guide stripe on the Self-Cath Male Olive Tip Coude Catheter helps determine the placement of the angled tip. This intermittent male catheter is also latex-free.

Coloplast Self-Cath Tapered Tip Coudé Catheter

The Self-Cath Male Tapered Tip Coude Catheter has all the same features as the Olive Tip Coude Catheter; however, the tip is slightly bent and smaller at the entrance point. This tapered tip is the most common type of coude tip and can be helpful when navigating small blockages or obstructions.

Coloplast Self-Cath Soft Catheter

The Self-Cath Soft Male Catheter is 16-inches long, features a straight tip, and is made of a softer, more flexible material. The medical-grade PVC is firmer than a red rubber catheter yet softer than plastic. This male intermittent catheter has fire-polished eyelets, a siliconized surface for smooth insertion, and is latex-free for those with sensitivities.

Coloplast Self-Cath Plus Male Length CatheterThe Self-Cath Plus Male Catheter features a hydrophilic coating that activates immediately after exposure to water. This slippery surface then allows the user to experience easy and comfortable self-catheterization. The Self-Cath Plus Male Catheter is made of medical-grade PVC and has an uncoated GripZone area for handling control. This male intermittent catheter is 16-inches long, has fire-polished eyelets, and is latex-free.

Coloplast Self-Cath Plus Female Length CatheterThe Self-Cath Plus Female Catheter has all the same great features as the male option, but it is only 6-inches long. At this length, along with the water-activated hydrophilic coating, self-catheterization for women is as comfortable and easy as it can get.

Coloplast Self-Cath Closed System KitThe Self-Cath Closed System Catheter Kit is a 100% silicone, latex-free, unisex catheter system. This self-contained intermittent catheter system for men and women allows for a touch-free catheterization experience. The pre-lubricated tip makes gliding the catheter into the urethra easy and helps reduce the risk of infection. The Self-Cath Unisex Closed System Catheter Kit also features an extension sleeve for convenience that reduces the frequency of transfers due to catheter changes. The EasyOff tear makes it easy to use, even for patients with limited dexterity.

The Self-Cath Unisex Closed System Catheter Kit includes:

  • 16-inch intermittent catheter in a 1,100 cc vinyl collection bag
  • One pair of ambidextrous gloves
  • One underpad
  • Povidone-iodine swabsticks
  • Instructions for use

The Self-Cath Unisex Closed System Catheter Kit is also offered as an Olive Tip Coude Closed System.

As you can see, the Coloplast Self-Cath family of catheters are designed with patient comfort, safety, and ease of use in mind. With the variety of Self-Cath catheters available for men, women, and children, there is sure to be an option for you.

If you need assistance choosing the intermittent catheter that your doctor has prescribed you, we have a team of experienced Catheter Product Experts that can help guide you in the right direction. Remember, self-catheterization should never be uncomfortable; and with any of these selections, you are sure to be in good hands.

coloplast brand logo
Personally Delivered- home

Bard: High-Quality Urological Supplies and Catheters

For over 100 years, Bard has developed and manufactured high-quality catheters and urological products. Bard products range from Foley catheters, hydrophilic catheters, irrigation trays, leg bags and straps, feeding tubes, and so much more. In 2017, Becton, Dickenson & Co. (BD) acquired Bard; however, Bard catheters and urological supplies are still sold and considered some of the highest quality products offered today.

What did Bard first become known for?

Bardia Silicone Two-Way Foley Catheter 5ccBard was the first company to sell the Foley catheter invented in the 1930s by Frederic Foley of St. Cloud, MN. This catheter style remains in the bladder for some time to ensure adequate drainage, usually post-operative or short-term. The Foley catheter can stay securely in the bladder with a balloon at the end that keeps the catheter from sliding out when inflated using sterile water. Urine then can drain from the bladder and into a leg bag or other type of collection bag that can be emptied and changed while the catheter remains in place.

What are other types of Bard catheters?

Bard Hydrophilic Catheters

Bard hydrophilic catheters have a smooth and slippery surface, making them low-friction and easier to use than uncoated intermittent catheters. One of Bard’s top-performing hydrophilic catheters is the Magic3. The three layers of silicone make this catheter just the right firmness while remaining flexible and smooth. The Bard Magic3 is available in male, female, and pediatric lengths and other convenient styles.

Bard Closed-System Catheters

Bard Touchless Female Red Rubber Catheter KitBard closed-system catheters are designed to be completely touch-free and remain a popular choice. These closed-system catheters are available with a variety of options. You can choose from straight or coude tips, vinyl or red rubber material, or hydrophilic closed-systems. Bard closed-system catheters come in male, female, and pediatric lengths. Using a Bard closed-system catheter can help reduce the risk of bacterial infection that could lead to urinary tract or bladder infections since they offer a touchless catheterization experience.

Bard Straight and Coude Tip Catheters

Bard straight and coude tip catheter offerings are uncoated and require the use of manual lubrication. If a straight tip catheter causes you discomfort, a Bard coude tip catheter might be an option. Coude tip catheters can help bypass urethral obstructions and reduce any trauma to the site.

One of the most popular Bard straight catheters is the Bard Red Rubber All-Purpose Straight Catheter. It features two opposing drainage outlets and is soft, flexible, and comfortable for those that do not have an allergy to natural rubber latex.

External Catheters

Natural Non-Adhesive Silicone Male External Catheter with Reusable StrapBard also offers external catheters for both men and women. External catheters essentially eliminate all urethral trauma and can significantly reduce or eliminate urinary infections associated with frequent catheterization. Since these types of catheters are less invasive, they can be a more comfortable option.

What urological supplies does Bard offer?

Bard also offers drainage supplies, catheter holders, and insertion supply trays. Having the right urological supplies can make a big difference in the entire catheterization experience. The Bardia Foley Catheter Insertion Tray is an example of a complete system that offers everything needed for safe and comfortable self-catheterization, except for the catheter. These insertion trays can help save time and money.

A catheter holder or securing device can help reduce any trauma to the urethra and bladder. Bard catheter holders can help reduce the possibility of the catheter dislodging and injuring the penis or labia.

Where to buy Bard urological supplies and catheters?

We at Personally Delivered offer a wide variety of Bard catheters and urological products for men, women, and children. It is critical to note that all catheters require a doctor’s prescription and are only sold and shipped upon receiving prescription verification. If you need assistance finding the Bard catheter suitable for your needs, our Product Experts are just a phone call away and ready to help. We are here to make it easy for you!

Popular Bard Urological Products and Catheters

Personally Delivered- home

Cure Medical: Making a Difference in the World of Catheters

Cure Medical was created in 2007 by Bob Yant and John Anderson. Bob was in a diving incident in the ocean and broke his neck, resulting in a C-5 spinal cord injury (SCI) that left him a quadriplegic. The name Cure Medical was derived from Bob’s passion for spinal cord research. Each year, Cure Medical gives ten percent of its net income to research for a cure for the causes of spinal cord injuries and central nervous system disorders. They are the only company in their industry that currently does this. Cure Medical takes great pride in designing innovative products and packaging with features that focus on improving quality of life. They offer exceptional products with many benefits for individuals within the SCI community. Cure Medical is now a partner of ours, and we are thrilled to have them join the ConvaTec family.

What products does Cure Medical manufacturer?

Cure Medical manufactures high-quality intermittent catheters in various styles, sizes, and coating options for those with various medical conditions. Some of those conditions include SCI, Spina Bifida, Multiple Sclerosis, neurogenic bladder, and Transverse Myelitis, to name a few. Cure Medical works hard to design intermittent catheters that are safe and ready to use right out of the packaging for those with a variety of needs.

What materials are used to make Cure Medical catheters?

Cure Medical catheters are free from DEHP DINP BPA and natural rubber latexThe materials used and manufacturing processes set Cure Medical apart from other intermittent catheters manufacturers. Some other catheter manufacturers use harmful allergens and carcinogens as an economical way to make catheters flexible. Cure Medical catheters are always free from DEHP/DINP, a known carcinogen. Their intermittent catheters are also BPA and latex-free, making them a safer choice for those with an allergy to natural rubber latex. Manufacturing catheters made using high-quality materials free of cancer-causing plasticizers and latex sets Cure Medical apart. Catheter users can experience increased safety, comfort, and peace of mind.

Another benefit Cure Medical intermittent catheter users value is the ultrasonic process used when making the drainage eyelets. Some other catheter manufacturers use a low-cost method that cold-punches the eyelets, leaving them with rough edges. Cure Medical’s ultrasonic process ensures that all catheters have smooth, fire-polished eyelets for increased comfort and a more positive catheterization experience.

What female catheters does Cure Medical offer?

Cure Twist for Women

The Cure Twist intermittent catheter is a sterile, single-use intermittent catheter designed for women who value discretion and convenience. This female catheter is ready to use right out of the packaging that resembles ordinary makeup products like a tube of lipstick or mascara. For maximum comfort, the Cure Twist features a twist-off cap and smooth polished eyelets on a pre-lubricated straight tip catheter.  This intermittent female catheter offers a catheterization experience that allows for less mess and no dripping.

The Cure Twist is available as the catheter itself or part of a kit, including a BZK wipe, a pair of ambidextrous gloves, an underpad, and a universal connector. As always, the Cure Twist is not made with DEHP/DINP, BPA, or natural rubber latex, giving you peace of mind.

The Cure Twist for Women is six inches in length and available in sizes 8Fr – 16Fr.

Cure Ultra for Women

The Cure Ultra is a sterile, single-use female catheter that is six inches long and ready to use. The easy-to-open packaging tears at the top to expose the pre-lubricated straight tip catheter with smooth polished eyelets. The CoverAll application evenly distributes the lubrication as the Cure Ultra for Women is removed from the packaging. A unique “no roll” connector/funnel end allows for easy draining. The Cure Ultra for Women is not made with DEHP/DINP, BPA, or natural rubber latex. It is available in sizes 8Fr – 16Fr.

What male catheters does Cure Medical offer?

Cure Medical Pocket Catheter

The sterile, single-use U-shaped Cure Medical Pocket Catheter gives men a convenient and discreet option to carry with them in the pocket of their pants or a small bag. This intermittent male catheter features smooth polished eyelets on a straight tip with a funnel end. The extra-large flaps at the end of the packaging enable a better grip for easy opening. The Cure Medical Pocket Catheter for Men is not made with DEHP/DINP, BPA, or natural rubber latex, making it a safe option.

The Cure Medical Pocket Catheter is available as:

  • A single 16-inch catheter – SHOP NOW
  • A single 16-inch catheter with a packet of lubricant – SHOP NOW
  • A single 16-inch catheter with coude tip and a packet of lubricant – SHOP NOW
  • An extra-long 25-inch catheter with a gripper sleeve and a packet of lubricant – SHOW NOW
  • As a catheter kit that includes a single 16-inch catheter, a packet of lubricant, one BZK wipe, an underpad, a pair of ambidextrous gloves, and a collection bag – SHOP NOW

Cure Ultra for Men

The Cure Ultra catheter is a 16-inch, sterile, single-use, pre-lubricated, discreet catheter for men. This male catheter features CoverAll Technology that evenly distributes the lubricant along the catheter as it is removed from the packaging, eliminating any mess and drips. The blue gripper sleeve on the Cure Ultra Catheter for Men allows for a truly touch-free catheterization experience, reducing the risk of contamination or infection. You can even roll up the Cure Ultra and put it in your pocket because it is formulated with soft, high-quality materials that won’t kink when bent.

The Cure Medical Ultra Catheter for Men is not made with DEHP/DINP, BPA, or natural rubber latex and is available as straight or coude tip in sizes 8Fr – 18Fr.

Hydrophilic Cure Catheter for Men

The Hydrophilic Cure Catheter for Men is a sterile, single-use intermittent catheter available with a straight or coude tip. This hydrophilic catheter for men features smooth, polished eyelets, a purified water packet for no-mess/no-stain hydration, and a textured advancer/gripper for easy insertion. The hydrophilic coating allows for quick lubrication, and as always, this catheter is not made with DEHP/DINP, BPA, or natural rubber latex.

The Hydrophilic Cure Catheter for Men is 16-inches in length and available in sizes 12Fr – 16 Fr. The straight tip option is also available as a kit configuration that includes one hydrophilic catheter, a pair of ambidextrous gloves, one BZK wipe, an underpad, and a collection bag with a universal connector.

This catheter is also offered in a straight tip, 10-inch long pediatric size. It is available in 8Fr – 14Fr.

Unisex Catheters by Cure Medical

Cure Closed-System Catheter

The Cure Medical Closed-System Catheter for men and women is a sterile, single-use unisex catheter that features smooth polished eyelets for comfort and is manufactured without DEHP/DINP, BPA, or natural rubber latex. This pre-lubricated catheter comes as either a straight or coude tip with an integrated 1500mL collection bag.

The Cure Closed System Catheter is also offered as a kit, including one Cure Closed System Catheter (straight or coude tip), a BZK wipe, a sterile wipe, three povidone-iodine swabs, an underpad, and a pair of ambidextrous gloves.

Cure Dextra Closed-System Catheter

The Cure Dextra Closed System Catheter is a unisex, pre-lubricated, straight-tipped catheter with polished eyelets. It features a unique support band on the back of the bag to help control catheter insertion, so many users with full or limited dexterity will find this feature beneficial. The tip of the intermittent catheter moves out of the bag and into the body with zero contact, making this Cure catheter a safe choice. The Cure Dextra Closed System Catheter has an integrated 1000mL collection bag with a gripper arrow to make advancing the catheter easy with each forward stroke. The catheter refrains from retracing on each backstroke. As always, Cure Medical Products are DEHP/DINP-free, BPA-free, and latex-free.

The Cure Dextra Closed-System Catheter is available in sizes 12Fr – 16Fr.

Cure Uncoated Catheters for Men, Women, & Children

These sterile, single-use uncoated catheters feature polished eyelets on a straight or coude tip and are offered in 16- inch male, 6-inch female, and 10-inch pediatric lengths with sizes ranging from 8Fr – 18Fr. The unique dual opening package style allows it to be opened from either end to help improve the ease of use.

The Cure Medical Uncoated Catheters are always free from DEHP/DINP, BPA, and natural rubber latex.

Cure Medical takes great pride in its manufacturing process and listens carefully to feedback from users. As a catheter manufacturer that also donates 10 percent of its net revenue to research for a cure, Cure Medical stands tall. We are proud to carry a complete line of Cure Medical Catheters and are happy they are now a part of the ConvaTec family.

For questions about any of the Cure Medical catheters we carry or help with finding the Cure Medical catheters you have been prescribed, give us a call. One of our Catheter Experts will gladly assist you in the purchasing process.

Personally Delivered- home

Neurogenic Bladder: Symptoms, Diagnosis, & Treatment Options

The central nervous system consists of the brain, the spinal cord, and many nerves in between. It is responsible for many of the functions within our bodies. When the brain and the nervous system are not properly communicating, or there is damage to these nerves, messages that are supposed to be sent to and from the brain are disrupted. In neurogenic bladder, the nerves do not work the way that they should. Find out more about neurogenic bladder, including symptoms, risk factors, and potential treatment options.

What is neurogenic bladder?

Neurogenic Bladder (NGB) happens when conditions related to the brain, spinal cord, or central nervous system affect the bladder. Under normal conditions, the bladder communicates with the brain to hold or release urine. When the nerves that control this communication are disrupted, the bladder becomes either overactive or underactive, depending on the nature of the damage. Neurogenic bladder occurs when neurological issues interrupt these critical messages, causing the bladder to malfunction.

The two different types of neurogenic bladder are:

Overactive bladder

Overactive bladder (OAB) causes you to have little or no control over your urination. It can also cause you to feel a sudden urge or frequent need to urinate.

Underactive bladder

Underactive bladder (UAB) occurs when your bladder muscles are unable to hold urine. The brain fails to send the proper nerve signals, and the ability to sense when your bladder is full or when to empty it is lost, leading to urine leakage.

What are the symptoms of neurogenic bladder?

woman holding her hands on her stomach in painThe symptoms of neurogenic bladder depend on what is causing the condition. The most common symptom of NGB is the inability to control urination. You can either lose control over your ability to urinate (overactive bladder or OAB) or are unable to fully empty the bladder, or have slow bladder emptying (underactive bladder or UAB).

Other symptoms of neurogenic bladder may include:

Urinary Tract Infection

A urinary tract infection (UTI) is often one of the first signs of neurogenic bladder. Those with overactive and underactive bladder often experience repeated urinary tract infections. UTIs are caused by harmful bacteria, viruses, or yeast growing in the urinary tract.

Urine Leakage

Urinary incontinence happens when the bladder muscles may be overactive and squeeze more often than regular, leading to urine leaks. You may leak just a few drops of urine, or you may expel a large amount of urine. This urine leakage can happen at any time of the day or night.

Urine Dribbles

With underactive bladder symptoms, you may only dribble a little bit of urine. You may not be able to empty your bladder fully or may not be able to empty your bladder at all. Urine dribbles are most common in those with diabetes, MS, or who have had major pelvic or bladder surgery. The sphincter muscles around the urethra may not work correctly, or they may stay constricted when trying to empty your bladder.

Frequent Urination

Feeling the sudden urge to pass urine often may happen to those with overactive bladder. Frequent urination is passing urine more than eight times in 24 hours. After feeling the sudden urge to urinate, some experience urine leaks, which can be a few drops or a more significant amount.

It is critical to contact your doctor if you have these symptoms or others that are related to urinating. More harm to the urinary system may happen by leaving signs and symptoms to progress without proper medical treatment.

Who is at risk for neurogenic bladder?

Neurogenic bladder can be from a congenital disability or caused by a brain disorder or bladder nerve damage. Whatever the cause may be, the nerves that communicate between the brain and the bladder are not working correctly.

Congenital disabilities that can cause neurogenic bladder include:

Spina bifida

When a fetus’ spine does not fully develop during the first month of pregnancy, Spina bifida occurs. After birth, babies often have weakness or paralysis that affects the bladder and how it works.

Sacral agenesis

Sacral agenesis is a congenital condition in which parts or all of the sacrum and lower spine are missing.

Cerebral palsy

Cerebral palsy is a group of chronic disorders that affect a person’s ability to control body movement and posture. These disorders result from injury to the motor areas of the brain. Cerebral refers to the brain, and palsy refers to weakened muscles. Cerebral palsy may occur in the womb or after birth and is not always diagnosed in the first year of life.

Various other medical conditions and brain disorders that can cause neurogenic bladder include the following:

  • Stroke
  • Parkinson’s disease
  • Alzheimer’s disease
  • Multiple sclerosis
  • Spinal cord injuries
  • Erectile dysfunction
  • Trauma/accidents
  • Central nervous system tumors
  • Heavy metal poisoning

If your doctor thinks you might have a neurogenic bladder, they will perform or order nervous system and bladder muscles tests. By treating the underlying condition, symptoms can often be reduced.

How is Neurogenic Bladder Diagnosed?

Various tests can help determine the health of the central nervous system and the bladder for a doctor to determine if neurogenic bladder is the diagnosis.

Some of the typical testing a doctor may perform or order includes:

Medical history

Your health care provider may ask you several questions to understand your medical history. These questions may include:

  • Symptoms you are having, how long you have had them, and how they are changing your life
  • Information about your past and current health problems
  • A list of the over-the-counter and prescription drugs you are taking
  • How your diet is and about how many liquids you drink during an average day

Physical exam

A physical exam may help your doctor better understand what might be causing your symptoms. The physical exam will likely include your abdomen, pelvis or prostate, and rectum.

Urine culture

A sample of your urine is tested for blood or infection when asked for a urine culture.

Bladder scan

A bladder scan is an ultrasound that shows the amount of urine remaining in the bladder after using the restroom.

Bladder Diary Page 1Bladder diary

You may be asked to keep a bladder diary to track how often you are using the restroom or leaking each day. By keeping a bladder diary for a couple of weeks, your doctor and you can sit down to discuss and learn more about your daily symptoms.

You can download and print your bladder diary here: Bladder Diary

Cystoscopy

A catheter with a tiny camera is inserted into the urethra during a cystoscopy to look into the bladder. This procedure can help the doctor diagnose urinary problems and determine what treatment is necessary. The test can tell how much the bladder can hold, how elastic it is, and when you feel the need to release urine. Bladder cancer, an enlarged prostate, and UTIs can all be found during a cystoscopy.

Other imaging

Your doctor may need to do additional imaging tests such as x-rays and CT scans to help diagnose your condition. Your doctor may also refer you to a specialist for imaging of the spine and brain.

How is Neurogenic Bladder Treated?

Treatment for neurogenic bladder is dependent on what is causing your symptoms and how serious they are. Manufacturers in the medical industry continue to release new inventions to help improve bladder control. The most popular surgery for both men and women is bladder sling surgery. Your doctor may consider these procedures when helping you determine what may work best for you. The goal of the treatment chosen by you and your doctor is to control the symptoms and prevent damage to the kidneys.

Currently, there is no cure for neurogenic bladder, but these are some options your doctor may recommend as treatments to help manage your symptoms:

Portrait of happy young Caucasian woman wearing sportswear doing pelvic muscle exercise lying on mat and smiling in gymBladder training

Kegel exercises can help strengthen your pelvic floor muscles. Since these muscles support your bowel and bladder, practicing these exercises can help prevent urinary leakage. To learn more about Kegel exercises for pelvic floor health, visit our blog post, Take Control of Your Pelvic Floor Disorder.

Delay urination

By waiting a few minutes after you feel the urge to urinate, you are practicing delayed voiding. The goal of delaying urination is to extend this time to a few hours in another attempt to train your bladder.

Urinate on a schedule

By urinating at certain times throughout the day, you might avoid, which can help prevent your bladder from becoming too full. Your doctor may also ask you to keep a bladder diary or journal to record any leakage incidents. A bladder diary can help you determine the best intervals for urinating.

Incontinence products

Incontinence products such as protective underwear, pads, panty shields, panty liners, and adult diapers can help prevent wetness and odors while protecting skin and clothing. The use of underpads, bed pads, chux, and mattress protectors can protect mattresses.

Intermittent catheterization

Your doctor may recommend intermittent catheterization to ensure complete bladder emptying. You may need to self-catheterize a few times a day; however, the catheter may need to stay in long-term in some instances. A variety of intermittent catheters are available to ensure the experience is as smooth and comfortable as possible.

Medication

Your doctor can prescribe medications to help improve bladder function. Specific medicines for neurogenic bladder depend on if your bladder is overactive, underactive, or both.

collage of coffee mug, brownies, tomatoes, and alcoholic beveragesChange of lifestyle and diet

Making a few lifestyle changes might be a good first step for those with minor nerve damage. Maintaining a healthy weight can reduce pressure on the bladder and help relieve symptoms of overactive bladder. Avoiding foods and beverages such as the following can also help reduce or prevent irritating your system:

  • Caffeine
  • Alcohol
  • Spicy foods
  • Dairy
  • Chocolate
  • Artificial sweeteners
  • Citrus fruits
  • Fruit juices

Electrical stimulation

Another treatment option is electrical stimulation therapy. This therapy involves placing small electrodes on the bladder. When stimulated, the electrodes can send impulses to the brain, telling it you need to urinate.

Botox for OAB

Botox works by stopping the nerve signals to the bladder muscles that trigger OAB. The entire procedure is outpatient and typically done in a doctor’s office. Your doctor will fill your bladder with a numbing agent. Once the bladder is numb, a cystoscope is inserted through the urethra, and Botox is injected into multiple strategic points of the bladder muscle. Your doctor will discuss Botox as a treatment for neurogenic bladder if you are intolerant to all other medications and treatment options.

Surgery

If other treatments fail, you could require a procedure or device to help you urinate. Your doctor can insert an artificial sphincter into your body that compresses the urethra to prevent urinary leakage, which can be manually released to allow emptying of the bladder. Other surgical options include bladder reconstruction surgery which may help with bladder control, or undergoing urostomy surgery. With a urostomy, the ureters are attached to a small portion of the ilium that is then used to create a stoma. A urostomy pouch is then be used to collect and discard urine from the body.

At Personally Delivered, we carry a wide range of incontinence products, catheters, ostomy supplies, and more to manage various symptoms from medical conditions. For help choosing the products, you need for your unique situation, give us a call. One of our compassionate, knowledgeable, and friendly Product Experts is ready to assist.

Popular Medical Supplies at Personally Delivered

Personally Delivered home horizontal logo

Botox Treatment for Overactive Bladder

Are you experiencing a sudden urge to urinate more often than usual? Do you find yourself unable to make it to the restroom in time? Or are you experiencing side effects from certain medications that impact your bladder? If so, you might be wondering if Botox treatment for Overactive Bladder may be the right solution for you.

What is Overactive Bladder?

An Overactive Bladder (OAB) can happen to anyone, regardless of age, sex, or race. It is a chronic incontinence condition that affects the communication between nerve signals and bladder muscles. The bladder muscles contract uncontrollably, resulting in the involuntary leakage of urine. These uncontrollable spasms of the bladder create a strong and sudden urge to urinate and are often accompanied by frequent urination throughout the day and night.

What is Botox?

Botox, formally termed onabotulinumtoxinA, is a drug that is classified as a neurotoxin. Neurotoxins disrupt the nervous system and how it functions. These types of drugs specifically are toxins that destroy nerve tissue. Since the nerves cannot transmit signals to the muscles when Botox is injected, the muscles become extremely relaxed or paralyzed.

How Can Botox Treat Overactive Bladder?

Have you experienced severe side effects from OAB medications or did not find relief using those medications? Before discussing Botox as a treatment for your OAB, start thinking about how OAB may be affecting your life.

  • Is OAB limiting your daily activities because you frequently need to find and use restrooms?
  • Are you limiting your intake of fluids?
  • Do you feel embarrassed that others are noticing your symptoms?
  • Are you experiencing frustration because OAB impacts your daily decisions like what you wear, where you go and affects your self-confidence?

If OAB is compromising your overall quality of life, Botox for Overactive Bladder may help.

In your body, certain chemicals travel from nerve cells to bladder muscle cells so they can contract and you can urinate. With OAB, these muscles uncontrollably contract and cause a sudden urge to go to the bathroom, causing involuntary leakage or the need to urinate many times throughout the day.

Botox can help patients with OAB reduce their leakage episodes by 50%-75%. It works by stopping the nerve signals to the bladder muscles that trigger OAB. The entire procedure is outpatient and typically done in a physician’s office. Your doctor will fill your bladder with a numbing agent. Once the bladder is numb, a cystoscope is inserted through the urethra, and Botox is injected into multiple strategic points of the bladder muscle. The entire prep, procedure, and monitoring should take approximately one hour.

What are the Possible Side Effects of Botox Treatments for Overactive Bladder?

Coloplast SpeediCath Compact Catheter Set for WomenAfter the Botox treatment for Overactive Bladder is complete, you may have a few side effects such as:

  • It may sting or burn when you urinate the first few times after treatment.
  • You may notice a small amount of blood in your urine.
  • You might experience an inability to empty your bladder fully.
  • You might get a urinary tract infection (UTI).

If any of these symptoms persist longer than a week, you should contact your doctor. If you continue to have trouble fully emptying your bladder, your doctor may prescribe the temporary use of an intermittent catheter such as the Infyna Chic Hydrophilic Female Catheter or the SpeediCath Compact Sets for Women or Men. Since Botox treatment for Overactive Bladder has had much success, using a catheter has been a rare side effect.

How Long Does Botox Treatment for Overactive Bladder Last?

Each person will respond differently to Botox treatment for Overactive Bladder. The Botox injections can help manage OAB with as few as two treatments per calendar year. After the first treatment, you should experience fewer and fewer leakage episodes as the weeks move on. In clinical trials, Botox relieved OAB symptoms for up to six months.

It may be helpful to keep a bladder diary to track your urination pattern and how you felt before and after Botox treatment for Overactive Bladder. When you meet with your doctor to discuss the results of your treatment, bring this bladder diary with you. Your doctor will use this as a tool to determine if you may need an additional Botox treatment sooner than every six months.

Download our useful Bladder Diary now.

Is Botox as a Treatment for OAB Covered by Medicare?

The good news is Botox treatment for Overactive Bladder is covered by most insurance companies, including Medicare. You may have no out-of-pocket expense; however, the cost of Botox is different for everyone depending on your specific insurance company.

To see if you are eligible and to find out how much Botox treatment for Overactive Bladder will cost you, visit this handy calculator now.

For any questions related to incontinence products that we offer to help manage Overactive Bladder symptoms, please Contact Us or give us a call at (800)777-1111. Our compassionate and experienced team is here to help make life a little easier for you so you can get back to enjoying life.

Products to Help Manage Overactive Bladder

Personally Delivered home horizontal logo

Bladder Exstrophy: Treatment and Outlook

Many pediatric urological complications can happen before, during, and after childbirth. Some of them are more serious than others, and some are more easily treatable. Bladder exstrophy is one of those conditions that affect the child as they are developing in the womb. Luckily, there are reconstructive procedures that can repair this congenital abnormality so that children can grow up and enjoy most of the same activities as others.

What is Bladder Exstrophy?

Bladder exstrophy is a developmental abnormality that happens when the lower abdominal skin does not properly form, causing the bladder and part of the urethra to be exposed to outside elements. The bladder is essentially turned inside out when the muscle and skin do not correctly close around it. The inner lining of the urethra is exposed on the top of a boy’s penis or between the separated left and right halves of the clitoris in girls.

Due to the bladder and urethra not being closed properly, the bladder cannot hold urine. Urine continuously leaks out and onto the exposed bladder and the surrounding skin. Bladder exstrophy is slightly more common in boys than girls.

How is Bladder Exstrophy Repaired?

A child born with bladder exstrophy requires some form of immediate treatment after birth. First, the bladder and urethra need to be protected from diaper material with a transparent adhesive dressing. Each child will be different when it comes to a specific plan of treatment that the primary care physician, pediatric urologist, and the urology health care team devise.

There are also different options for the repair; immediate or delayed. Immediate reconstructive surgery will be performed within the first two to three days of a child’s life, whereas delayed surgery will be around six to twelve weeks of age. Sometimes the delayed choice is preferred due to the small anatomy of a newborn. Allowing the body to develop more might be a safer repair option.

Bladder exstrophy reconstructive surgery usually involves multiple operations at different times in a child’s life as they mature to obtain the best results.

Initial Closure and Pubic Bone Repair

The first surgery is either done immediately after birth or delayed at approximately six to twelve weeks. This procedure closes the bladder, abdominal wall, and posterior urethra and reconstructs the belly button and pubic bone repair. Because the pubic bone is separated and spread widely apart in children with bladder exstrophy, correcting this abnormality when the bones are soft is more successful. Bringing the pubic bones closer together helps support the soft tissues of the pelvis.

Babies are put into a device, so their lower legs do not move. This device helps prevent the separation of the pelvic bones and aids in recovery.

Repair of the Urethra

If the initial surgery was delayed, this procedure could be combined with the first at approximately six to twelve weeks of age. The bladder should have increased in size at this point, and the urethra is closed and rerouted through the usual passageway. The ureters may be repositioned within the bladder if they are not connected in the right place.

Common Problems Associated with Bladder Exstrophy

Children with bladder exstrophy can experience problems at any stage of life after their surgical repairs are complete. Often, lifelong follow-up care is needed to help ensure the best quality of life.

Urinary Incontinence

Since the pelvic bones are spread widely apart in a child with bladder exstrophy, there is inadequate support of the soft tissue of the pelvis. Because of this lack of support, there is increased tension on the pelvic bones, leading to involuntary urinary leakage.

Vesicoureteral Reflux

When the ureters are not joining the bladder in the correct place, urine can flow back toward the kidneys. This backflow can lead to kidney damage and recurring urinary tract infections.

Emotional Issues

A psychologist or licensed therapist may need to be considered part of the child’s health care team. They can help the child and the family deal with complex issues together.

What are the Risks Involved with Bladder Exstrophy Surgery?

Wound Site Problems

There is a risk that the wound site will not heal properly and open up, causing the bladder to move out of position. Another surgery is required to repair this problem.

Kidney Damage

The other risk is kidney damage from vesicoureteral reflux when urine flows back into the kidneys. If this condition is left untreated, it can lead to kidney failure.

As with any surgical procedure, there are some risks. However, the health care team will monitor both of these conditions throughout the child’s treatment plan.

What is the Long-term Outlook for Babies Born with Exstrophy?

Children born with bladder exstrophy can live a happy and productive life with an average life expectancy. Many people have a normal sexual function and can have children of their own. Some males with bladder exstrophy may experience fertility issues. However, there are many treatment options available for that and can be discussed with a doctor.

Intermittent Catheterization or Urostomy Surgery Later in Life

little ones urostomy pouchDuring a child’s journey with bladder exstrophy, there may come when they are unable to empty their bladder on their own completely. In this case, the health care team can determine if the use of pediatric intermittent catheters might be an alternate approach. If a more long-term drainage solution is needed, a urostomy can be surgically created as an alternate opening for access to the urinary system. The child will then have complete control over urine flow from their body using an ostomy pouching system with a drainage tap.

Most children with bladder exstrophy go about their daily lives without anyone ever even knowing what is different underneath their clothing. They participate in sports and other activities much the same as any other child. The success stories are endless from families that have had a child undergo bladder exstrophy surgeries.

For any questions related to incontinence products, intermittent catheters, ostomy supplies, or any other product that we carry to manage medical conditions, our Product Experts are available to assist. Our compassionate and knowledgeable team will make it easy for you to choose the right products for your needs so you can get back to doing the things you enjoy most.

Popular Pediatric Medical Supplies

Personally Delivered home horizontal logo